Individual provider Active NPI

Rachel Henderson, CNM

  • Advanced Practice Midwife
  • Warrensburg, MO
National Provider Identifier
1669007332
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2021007301 Issued in MO
Practice address
415 Burkarth Rd Ste a
Warrensburg, MO 64093-3120
Phone
(660) 429-2228
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420000247 MO Practitioner - Certified Nurse Midwife (CNM) 1456769199 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
778NMMDMidwife
70824NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Current Accepting new patients
Western Missouri Medical Center CurrentSince Apr 1, 2021 Accepting new patients

Locations

415 Burkarth Rd
Ste A
Warrensburg, MO 64093
Phone (660) 429-2228

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Obstetric Registered Nurse 163WX0003X 70824 NM
Midwife 176B00000X 778 NM
Advanced Practice Midwife 367A00000X 2021007301 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

415 Burkarth Rd Ste a
Warrensburg, MO 64093-3120

Mailing address

415 Burkarth Rd Ste a
Warrensburg, MO 64093-3120
Phone (660) 429-2228

Other practice location 1

4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 727-7800

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
70824OtherNMRN
CNM05823OtherAMCB CERTIFICATION
2021007301OtherMOAPRN-CNM
778OtherNMCNM LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2021.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1669007332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BURKARTH RD STE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933120",
            "telephone_number": "660-429-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BURKARTH RD STE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933120",
            "telephone_number": "660-429-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091219",
            "country_code": "US",
            "telephone_number": "505-727-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RACHEL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NM",
            "license": "70824",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "778",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2021007301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "70824",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMCB CERTIFICATION",
            "identifier": "CNM05823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNM",
            "identifier": "2021007301",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM LICENSE",
            "identifier": "778",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.